Bilbao - How is the heart health of the Basques Doctor?
-It is sad to say it but not very well.Sport is recently done.Even our young people.And unfortunately, bad eating habits are favoring that cardiovascular diseases and risk factors that enhance them such as diabetes, hypertension, or cholesterol elevation are increasingly frequent.And we must not forget that heart disease are the first cause of death in our society.
What is worse sedentary lifestyle, hypertension, cholesterol ...?
-It's that everyone is linked.
And above we are fat.
-Yes, but it has been seen that it is worse to be obese from a bad diet than a good diet.Being overweight is always negative, but there are studies that have compared obesity with good diet, with fruit, vegetables but too much.That obesity is better than a fatness that is achieved at the expense of saturated fats.
Is it better to be overweight with healthy diet and exercise or have less kilos without moving and eating worse?
-It is better to have a few extra kilos with the first formula.But always aiming to eat better, and exercise more.
Well here you eat a lot and well.
-The Cantabrian cornice diet is a cardiosaludable Mediterranean diet prototype.We take fresh food, tomatoes, lettuce, scallions, pods ... That is a classic.The typical second dish is a fresh fish and there we have the Begihaundis, hake ... we have a great fruit, figs, apples, pears, kiwis, and of course, nuts what is more typical than Intxaursts?If even the black pudding is from leek.
As we are older is our heart?
-Yes, but there is another important element.As we survive more cardiological diseases, - because we are able to open coronary hearts that close, to give medication that help the heart pumping - it is easier to suffer from relapses.From the age of 65 or 70 it is very common for a person, that is, diabetic or has high tension or has suffered from arrhythmia.They are chronic diseases that require care so as not to decompose again.
We associate infarctions with men.However, they are not an exclusive disease of men.
-Wok we also suffer many heart problems because we have acquired some male habits such as smoking that we know that in women it can be even more harmful than in men.From a certain age, hormonal changes favor the appearance of diabetes and hypertension.And it is not known very well why, women turn to their role as caregivers and care about the diabetes of their husbands or the hypertension of their parents.And yet, they come less to the consultation in the presence of their own symptoms.
Does mortality due to cardiovascular causes affect both sexes?
-In under than fifty years it can be higher in men but from that age, women take run and from 60 they die more due to cardiovascular disease.
The implementation in the cav of the ‘Infarto Code’ is effective?
-Yes, we know that the communities that we have activated that code, the way of acting in the face of the appearance of a heart attack, we have better results.If you act soon because we coordinate and the link is well organized, people manage to survive in a greater percentage and the subsequent quality of life is better.
We have also filled Euskadi for defibrillators.
-The important thing is to act in the first three minutes.Every minute that passes the population dies 10%.If two minutes are lost, 20% more mortality and thus add and continue ... if someone has been in cardiac arrest and no one has begun to give a cardiac massage has a 60% chance of dying orsuffer brain injury.
Cheer up.Write a letter to the Magi (read the next Lehendakari) and ask for something in health.
-We have a good health with the greatest health expenditure per inhabitant but the challenge is to stay at a renewed and updated leading technology level.We must also encourage toilets not only at the level of fees, which also because we have already made an economic effort, but with more training.And all enhancing chronic patient and palliative care.